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Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study

Year 2016, Volume: 50 Issue: 3, 373 - , 26.04.2016

Abstract

Objective: The purpose of this study was to biomechanically compare cable, trochanteric grip plate, and locking plate techniques in Vancouver type AG fracture model in an in vitro test environment.
Methods: Fifteen pieces of fourth-generation synthetic femora were separated into 3 groups of 5 models each. A greater trochanteric fracture model was created after femoral stem implantation. Group 1 was fixated with only cable, Group 2 with trochanteric grip plate, and Group 3 with locking plate. Horizontal stiffness, axial stiffness, and failure loads were compared between the groups.
Results: In horizontal compression tests, Group 3 had the highest values, but the only statistically significant difference was between the locking plate group and cable group. Axial distraction test results showed that mean stiffness of Group 1 was 94.6±9.44 N/mm, that of Group 2 was 174.8±28.64 N/mm, and that of Group 3 was 185.6±71.64 N/mm. While locking plate versus cable fixation and grip plate fixation versus cable fixation showed statistically significant differences (p<0.05), comparison of locking plate versus grip plate fixation showed no statistically significant difference (p>0.05). In axial failure load test, Group 3 had the highest results. The only significant difference was between the locking plate and cable groups (p<0.05).
Conclusion: In Vancouver type AG fractures stable fixation may be achieved with grip plate fixation and locking plates, with the former ensuring more stable osteosynthesis.

Year 2016, Volume: 50 Issue: 3, 373 - , 26.04.2016

Abstract

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Details

Primary Language English
Journal Section Experimental Study
Authors

Kerim Sarıyılmaz

Murat Korkmaz

Okan Özkunt

Halil Can Gemalmaz This is me

Mustafa Sungur This is me

Murat Baydoğan

Publication Date April 26, 2016
Published in Issue Year 2016 Volume: 50 Issue: 3

Cite

APA Sarıyılmaz, K., Korkmaz, M., Özkunt, O., Gemalmaz, H. C., et al. (2016). Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study. Acta Orthopaedica Et Traumatologica Turcica, 50(3), 373.
AMA Sarıyılmaz K, Korkmaz M, Özkunt O, Gemalmaz HC, Sungur M, Baydoğan M. Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study. Acta Orthopaedica et Traumatologica Turcica. April 2016;50(3):373.
Chicago Sarıyılmaz, Kerim, Murat Korkmaz, Okan Özkunt, Halil Can Gemalmaz, Mustafa Sungur, and Murat Baydoğan. “Comparison of Fixation Techniques in Vancouver Type AG Periprosthetic Femoral Fracture: A Biomechanical Study”. Acta Orthopaedica Et Traumatologica Turcica 50, no. 3 (April 2016): 373.
EndNote Sarıyılmaz K, Korkmaz M, Özkunt O, Gemalmaz HC, Sungur M, Baydoğan M (April 1, 2016) Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study. Acta Orthopaedica et Traumatologica Turcica 50 3 373.
IEEE K. Sarıyılmaz, M. Korkmaz, O. Özkunt, H. C. Gemalmaz, M. Sungur, and M. Baydoğan, “Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study”, Acta Orthopaedica et Traumatologica Turcica, vol. 50, no. 3, p. 373, 2016.
ISNAD Sarıyılmaz, Kerim et al. “Comparison of Fixation Techniques in Vancouver Type AG Periprosthetic Femoral Fracture: A Biomechanical Study”. Acta Orthopaedica et Traumatologica Turcica 50/3 (April 2016), 373.
JAMA Sarıyılmaz K, Korkmaz M, Özkunt O, Gemalmaz HC, Sungur M, Baydoğan M. Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study. Acta Orthopaedica et Traumatologica Turcica. 2016;50:373.
MLA Sarıyılmaz, Kerim et al. “Comparison of Fixation Techniques in Vancouver Type AG Periprosthetic Femoral Fracture: A Biomechanical Study”. Acta Orthopaedica Et Traumatologica Turcica, vol. 50, no. 3, 2016, p. 373.
Vancouver Sarıyılmaz K, Korkmaz M, Özkunt O, Gemalmaz HC, Sungur M, Baydoğan M. Comparison of fixation techniques in Vancouver type AG periprosthetic femoral fracture: a biomechanical study. Acta Orthopaedica et Traumatologica Turcica. 2016;50(3):373.